{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T13:04:48Z","timestamp":1760015088961,"version":"3.41.0"},"reference-count":66,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Many healthcare-related processes have undergone substantial transformation by the internet since the turn of the century. This technological revolution has fostered a fundamental shift from medical paternalism to patient autonomy and empowerment via a \u201cpatient-centric approach.\u201d Patient portals, or internet-enabled access to an electronic medical record, permit patients to access, manage, and share their health-related information. Patient connectivity following total knee arthroplasty (TKA) has the potential to positively influence overall outcomes, patient experience, and satisfaction. To understand current trends in patient portal usage, modalities of connectivity, and the implications following TKA. A systematic literature review was performed by searching PubMed and Google Scholar. Articles specific to portal usage and connectivity after TKA or total joint arthroplasty were subsequently identified for further review. Patient portals and internet-based digital connectivity platforms enable physicians, team members, and patients to communicate in the perioperative period both directly and indirectly. Communication can be through web-based patient portals, messaging services\/apps, preprogrammed alerts (e.g., mobile applications or wearable devices), audio mediums, or videoconferencing. The spectrum and utilization of available patient engagement platforms continues to expand as the importance and implications of patient engagement and connectivity continue to be elucidated. Connectivity through patient portals or other mediums will continue to have an expanding role in all aspects of orthopedic surgery, patient care, and engagement. This includes preoperative education, postoperative rehabilitation, patient care, and, perhaps most importantly, collection of outcome measures. The level of evidence is V (expert opinion).<\/jats:p>","DOI":"10.1055\/a-2542-7427","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T23:59:17Z","timestamp":1743551957000},"page":"386-392","source":"Crossref","is-referenced-by-count":1,"title":["Internet-Based Patient Portals Increase Patient Connectivity Following Total Knee Arthroplasty"],"prefix":"10.1055","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1942-1369","authenticated-orcid":false,"given":"James P.","family":"Henry","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Huntington Hospital, Northwell Health, Huntington, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Tamer","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giles R.","family":"Scuderi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,4,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.17226\/9750","volume-title":"Technical Requirements and Implementation Strategies","author":"National Research Council (US) Committee on Enhancing the Internet for Health Applications","year":"2000","edition":"2nd ed."},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"e12779","DOI":"10.2196\/12779","article-title":"Patient portals facilitating engagement with inpatient electronic medical records: a systematic review","volume":"21","author":"R Dendere","year":"2019","journal-title":"J Med Internet Res"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.arth.2018.11.002","article-title":"Utilization of an electronic patient portal following total joint arthroplasty does not decrease readmissions","volume":"34","author":"J F Plate","year":"2019","journal-title":"J Arthroplasty"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s13584-021-00459-9","article-title":"Patient-centered care: achieving higher quality by designing care through the patient's eyes","volume":"10","author":"S Edgman-Levitan","year":"2021","journal-title":"Isr J Health Policy Res"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"1148277","DOI":"10.3389\/fpubh.2023.1148277","article-title":"More patient-centered care, better healthcare: the association between patient-centered care and healthcare outcomes in inpatients","volume":"11","author":"C Yu","year":"2023","journal-title":"Front Public Health"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1055\/s-0041-1731339","article-title":"Patient portals: useful for whom and for what? a cross-sectional analysis of national survey data","volume":"12","author":"C M Swoboda","year":"2021","journal-title":"Appl Clin Inform"},{"issue":"09","key":"ref7","doi-asserted-by":"crossref","first-page":"e26189","DOI":"10.2196\/26189","article-title":"The impact of digital patient portals on health outcomes, system efficiency, and patient attitudes: updated systematic literature review","volume":"23","author":"E Carini","year":"2021","journal-title":"J Med Internet Res"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"e44","DOI":"10.2196\/jmir.3171","article-title":"The effect of patient portals on quality outcomes and its implications to meaningful use: a systematic review","volume":"17","author":"C S Kruse","year":"2015","journal-title":"J Med Internet Res"},{"issue":"02","key":"ref9","doi-asserted-by":"crossref","first-page":"489","DOI":"10.4338\/ACI-2016-01-RA-0003","article-title":"Patient portals: who uses them? 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